Individual provider Active NPI

Gwendolyn Spencer Barnhart, PHD, PSYD, EDD

  • Clinical Psychologist
  • Lakebay, WA
National Provider Identifier
1467079525
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY61265998 Issued in WA
Practice address
609 204TH Avenue CT SW
Lakebay, WA 98349-9473
Phone
(253) 331-1530
Fax
(855) 878-3079
NPI assigned
Jul 6, 2020
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61254557 WA
Clinical Psychologist 103TC0700X 2269 HI
Clinical Psychologist 103TC0700X PY61265998 WA Primary
Clinical Psychologist 103TC0700X 235193 AK
Clinical Psychologist 103TC0700X 4050 OR
Clinical Psychologist 103TC0700X CP70010956 WA

Addresses

Primary practice location

609 204TH Avenue CT SW
Lakebay, WA 98349-9473

Mailing address

609 204TH Avenue CT SW
Lakebay, WA 98349-9473
Phone (253) 331-1530

Other practice location 1

607 Division St.
Nome, AK 99762
Phone (907) 443-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, WA, OR, HI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20251031003685 AK Practitioner - Clinical Psychologist 5395234991 Reassigns benefits to 1 organization
I20251101000263 WA Practitioner - Clinical Psychologist 5395234991 Reassigns benefits to 2 organizations
I20251101000332 OR Practitioner - Clinical Psychologist 5395234991 Reassigns benefits to 1 organization
I20251103004043 HI Practitioner - Clinical Psychologist 5395234991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind PAGroup PAC ID 3577099621, 78 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1400 112TH Ave SE
Suite 100
Bellevue, WA 98004-6901
Phone (866) 630-0966

2829 Buena Vista Rd
Nyssa, OR 97913-5301
Phone (866) 630-0966

500 Ala Moana Blvd
Suite 7400
Honolulu, HI 96813-4902
Phone (866) 630-0966

721 Depot Dr
Anchorage, AK 99501-1615
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH61254557WAMDMental Health Counselor
235193AKMDClinical Psychologist
2269HIMDClinical Psychologist
CP70010956WAMDClinical Psychologist
PY61265998WAMDClinical Psychologist
4050ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Sep 15, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Feb 1, 2026 Accepting new patients

Locations

721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1467079525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 204TH AVENUE CT SW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499473",
            "telephone_number": "253-331-1530",
            "fax_number": "855-878-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 204TH AVENUE CT SW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499473",
            "telephone_number": "253-331-1530",
            "fax_number": "855-878-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Division St.",
            "address_purpose": "LOCATION",
            "city": "Nome",
            "state": "AK",
            "postal_code": "99762",
            "country_code": "US",
            "telephone_number": "907-443-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNHART",
        "first_name": "GWENDOLYN",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61254557",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "2269",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61265998",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "235193",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "4050",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "CP70010956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakebay, WA

Sources for this page

Verify at the official NPI Registry.